Active NPI
Kyle Slough
- Counselor
- New Bern, NC
National Provider Identifier
1558718965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 9078
- Practice address
- 25 Harbor Walk
New Bern, NC 28562-8902 - Phone
- (704) 488-5998
- NPI assigned
- May 16, 2016
- Last updated
- May 16, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 9078 | NC | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2966 | NC |
Addresses
Primary practice location
25 Harbor Walk
New Bern, NC 28562-8902
Mailing address
25 Harbor Walk
New Bern, NC 28562-8902
Phone (704) 488-5998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2966 | NC | MD | Athletic Trainer |
| 9078 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Counselor | Current | Accepting new patients |
Interoperability endpoints
- kyleslough@tdh.allscriptsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Counselor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463356800000",
"number": "1558718965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 HARBOR WALK",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285628902",
"telephone_number": "704-488-5998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 HARBOR WALK",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285628902",
"telephone_number": "704-488-5998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOUGH",
"first_name": "KYLE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-16",
"last_updated": "2016-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "9078",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "2966",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.